Organization
THE DULUTH CLINIC, LTD.
Active
Parent organization
ESSENTIA HEALTH
Other names
Essentia Health Duluth 1st Street Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
ESSENTIA HEALTH
Authorized official
KEVIN BOREN (VP OF FINANCE)
(218) 786-1009
Entity
Organization
Contact information
Practice address
420 E 1ST STREET, SUITE A, DULUTH, MN 55805-1901
(218) 786-1685
(218) 786-1699
Mailing address
420 E 1ST STREET, SUITE A, DULUTH, MN 55805-1901
(218) 786-1685
(218) 786-1699
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2626932
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24-27448
NCPDP
MN
01
—
573
THE DULUTH CLINIC, LTD CHAIN CODE
MN
05
—
779427400
—
MN
Enumeration date
08/20/2006
Last updated
02/28/2024
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